Individual provider Active NPI

Rhonda Lou Colvin, PA-C

  • Multi-Specialty Group
  • Bakersfield, CA
National Provider Identifier
1285940635
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty GroupTaxonomy code 193200000X
License
51598 Issued in CA
Practice address
100 Old River Rd
Bakersfield, CA 93311-8823
Phone
(661) 663-4966
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Group 193200000X 51598 CA Primary

Addresses

Primary practice location

100 Old River Rd
Bakersfield, CA 93311-8823

Mailing address

8200 Kroll Way
Apt 167
Bakersfield, CA 93311-1109
Phone (661) 663-4861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024002968 CA Practitioner - Physician Assistant 7911273685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51598CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Dimas Medical Group, Inc Multi-Specialty CurrentSince Aug 23, 2017 Accepting new patients

Locations

100 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-4800

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039556

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1285940635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 KROLL WAY",
            "address_2": "APT 167",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111109",
            "telephone_number": "661-663-4861",
            "fax_number": "661-663-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118823",
            "telephone_number": "661-663-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "RHONDA",
        "middle_name": "LOU",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193200000X",
            "taxonomy_group": "",
            "desc": "Multi-Specialty",
            "state": "CA",
            "license": "51598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.